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Household out-of-pocket expenditure on health comprise cost-sharing, self-medication and other expenditure paid directly by private households, irrespective of whether the contact with the health care system was established on referral or on the patient’s own initiative.

The former relates to provisions of health insurance or third-party payers for beneficiaries to cover part of the medical cost via a fixed amount per service (co-payment) or a set share of the price tagged to services (co-insurance, also labeled in some countries 'ticket modérateur') or a fixed amount to be born before the third-party gets involved (deductible). Self-medication includes informal payments extracted by medical care providers above the conventional fees, to over-the-counter prescriptions and to medical services not included in a third-party payer formulary or nomenclature of re-imbursable services.

Note: This item corresponds to HF.2.3 in the ICHA-HF classification of health care financing (see SHA, chapters 6 and 11).

Source Publication:
OECD Health Data 2001: A Comparative Analysis of 30 Countries, OECD, Paris, 2001, data sources, definitions and methods.

Statistical Theme: Health statistics

Created on Tuesday, September 25, 2001

Last updated on Monday, March 10, 2003